Utilizing the discrete fracture model (DFM), a transient flow model is established for fractured horizontal wells in tight oil reservoirs, accounting for threshold pressure gradient (TPG), stress sensitivity effect, hydraulic fracture parameters, and fracture distribution pattern. This model is solved using the finite-volume method (FVM), and an important sensitivity analysis is conducted. The findings reveal that the models incorporated by the threshold pressure gradient result in an upward trend in the pressure-derivative curve. As the threshold pressure gradient increases, this upward trend becomes more pronounced, rendering the distinction between flow regimes more challenging. The stress sensitivity effect predominantly impacts the pressure-derivative curve during the later flow period. Additionally, as the fracture half-length increases, the pressure performance of both fracture radial flow and formation radial flow becomes more difficult. Fracture conductivity has a significant influence during the early flow period, facilitating the identification of flow regimes with the trend of increasing fracture conductivity.